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一项探索人类免疫缺陷病毒对心脏疾病影响的系统评价

A Systematic Review Exploring the Effect of Human Immunodeficiency Virus on Cardiac Diseases.

作者信息

Alzubaidee Mohammed J, Dwarampudi Raga Sruthi, Mathew Sheena, Bichenapally Sumahitha, Khachatryan Vahe, Muazzam Asmaa, Hamal Chandani, Velugoti Lakshmi Sai Deepak Reddy, Tabowei Godfrey, Gaddipati Greeshma N, Mukhtar Maria, Khan Safeera

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2022 Sep 8;14(9):e28960. doi: 10.7759/cureus.28960. eCollection 2022 Sep.

DOI:10.7759/cureus.28960
PMID:36237744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9547769/
Abstract

Human immunodeficiency virus (HIV) primarily affects the immune systems, which, if progressed, will lead to acquired immunodeficiency syndrome (AIDS). Currently, there is no effective cure for the disease, and patients are affected lifelong, but there are antiretroviral medications that can control the disease's symptoms and progression. In addition, taking precautions during sexual contact, especially in the male homosexual population, while handling the patient's bodily fluids such as blood and saliva, and during childbirth by an infected mother is necessary to prevent the transmission of the virus. We used 15 studies, including systematic reviews and meta-analyses, observation studies, randomized clinical trials, and comprehensive reviews, to determine how HIV interferes with heart disease, increasing morbidity and mortality. We have used specific inclusion and exclusion criteria, focusing on specified age groups within a particular timeline. Some of the included studies found that many side effects from antiretroviral drugs can impact heart conditions, along with HIV, while others did not show a strong correlation between HIV and some heart diseases. In conclusion, after reviewing the literature, the results are inconclusive. More extensive trials focusing on the impact HIV has on heart disease are required to establish a strong correlation between HIV and heart disease to prevent morbidity and mortality.

摘要

人类免疫缺陷病毒(HIV)主要影响免疫系统,若病情进展,会导致获得性免疫缺陷综合征(AIDS)。目前,该疾病尚无有效治愈方法,患者会终身受影响,但有抗逆转录病毒药物可控制疾病症状及进展。此外,在性接触过程中采取预防措施很有必要,尤其是在男性同性恋群体中,同时在处理患者的体液(如血液和唾液)时以及受感染母亲分娩期间,以防止病毒传播。我们使用了15项研究,包括系统评价和荟萃分析、观察性研究、随机临床试验及综合综述,来确定HIV如何干扰心脏病,增加发病率和死亡率。我们采用了特定的纳入和排除标准,聚焦于特定时间范围内的特定年龄组。一些纳入研究发现,抗逆转录病毒药物的许多副作用会与HIV一起影响心脏状况,而其他研究并未显示出HIV与某些心脏病之间有很强的相关性。总之,在回顾文献后,结果尚无定论。需要进行更广泛的试验,聚焦于HIV对心脏病的影响,以确定HIV与心脏病之间的强相关性,从而预防发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/20a3787265f8/cureus-0014-00000028960-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/18679cb5adec/cureus-0014-00000028960-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/2cab5512b08c/cureus-0014-00000028960-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/6b8349e6bf2f/cureus-0014-00000028960-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/20a3787265f8/cureus-0014-00000028960-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/18679cb5adec/cureus-0014-00000028960-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/2cab5512b08c/cureus-0014-00000028960-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/6b8349e6bf2f/cureus-0014-00000028960-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d90/9547769/20a3787265f8/cureus-0014-00000028960-i04.jpg

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